Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Comparison of Heart Team vs Interventional Cardiologist Recommendations for the Treatment of Patients With Multivessel Coronary Artery Disease

Michael B. Tsang, Jon-David Schwalm, Sumeet Gandhi, Matthew Sibbald, Amiram Gafni, Mathew Mercuri, Omid Salehian, André Lamy, Dan Pericak, Sanjit S. Jolly, Tej Sheth, Craig Ainsworth, James L. Velianou, Nicholas Valettas, Shamir R. Mehta, Natalia Pinilla, Bobby Yanagawa, Li Zhang, Victor Chu, Dominic Parry, Richard Whitlock, Adel Dyub, Irene Cybulsky, Lloyd Semelhago, Kostas Ioannou, Adnan Hameed, Douglas Wright, Amin Mulji, Saeed Darvish‐Kazem, Nandini Gupta, Ahmed Alshatti, Madhu K. Natarajan

JAMA Network Open · 2020

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Summary

The heart team's recommended treatment for patients with multivessel coronary artery disease differed from that of the original treating interventional cardiologist in up to 30% of cases. This subset of cases was associated with a lower frequency of unanimous decisions within the heart team and less concordance between the interventional cardiologists; discordance was more frequent when percutaneous coronary intervention or medication therapy were considered. Further research is needed to evaluate whether heart team decisions are associated with improvements in outcomes and, if so, how to identify patients for whom the heart team approach would be beneficial.

Source type
Peer-reviewed study
DOI
10.1001/jamanetworkopen.2020.12749
Catalogue ID
SNmohbatvo-b4tlrh
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